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How to assess a safe placement of a Nasogastric/Naoenteric tube , and its complications

To protect yourself The nasogastric tube should be placed correctly to ensure that there is no risk of injury or death. small bowel feeding tube Modern technology and techniques can help reduce the risks. Read more.

Avoiding the problems that are caused by nasoenteric tubes
The secure placement of a nasogastric or nasal tube requires a professional medical practitioner with an excellent level of accuracy. Nasogastric or nasoenteric tubes (NGT/NET) are flexible devices that go through the nose distally to the stomach or small bowel (respectively) which allows adequate nutrition as well as medical care for seriously ill or surgically treated patients. They can also cause complications that can't be avoided. A study from Brazil has proven this .


Placement of NGT/NET early is associated with decreased infectious complications, preservation and integrity of the gut mucosa and improved gastrointestinal motility and increased immune reactions.


NGT/NET can also improve patient outcomes, improve wound healing, reduce disease severity and complications reduce the duration of hospitalization in the ICU and may even lower the mortality rate. They are also useful for seniors in their final years.

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The feeding tube for NG/NE can be inserted using a variety of methods, including blind insertion, and guidance devices.

There are two major problems associated with feeding tube malposition Similar to other complications with tubes:


Aspiration pneumonia: A misposition of NGT/NET in the esophagus or in the stomach of a patient who requires small bowel feedings greatly increases the chance of having aspiration pneumonia. Nowadays it is the result of 28 percent of tube malpositions.
Inadvertent lung placement 2.5% of NGT/NET are accidentally placed in the lung. This could lead to a 30% risk that the lung will collapse (pneumothorax). Rarely, misplacement can cause death.
So, healthcare professionals have to evaluate risks and implement patient safety and quality of healthcare methods.

This article will explain the symptoms of feeding tube misplacement, risks, and methods for confirming the location. Lung collapse feeding tube It will also introduce the ENvue technology that aids medical personnel in navigating an empty tube to avoid any complications.

What are the signs and Symptoms of a Lost NGT/NET
A variety of signs, like coughs, elevated blood pressure, increased heart rate and respiratory rate, or a decrease in oxygen saturation, may indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare workers should regularly review risks and put in place safety-related procedures.



The biggest risk of misposition is due to blind feeding tube placement. post pyloric feeding tube place Tube verification is necessary to ensure safety for patients.

If they suspect that the tube was not placed correctly the doctor should stop feeding it. There are many methods to determine the proper position of your tube. Every technique's efficacy must be assessed in the light of the individual patient.

Lung collapse feeding tube How to Verify Safe Enteral Feeding Tub Positioning
A evidence-based method must be used to verify that the proper placement of NGT/NET tubes has been confirmed before EN can be initiated. There are several verifiable methods of verification that can be used, such as x-ray(radiography) pH reading, capnography ultrasound, and fluoroscopy.

An abdominal radiograph is used to confirm the location of a nasogastric tube. The entire tube's path through the digestive tract is seen here.


As per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) Utilization of x-rays and pH aspirates was discovered in 90.8% of the reports. 9.2 percent of the reports indicated the use of non-recommended methods for verification, like the insertion of an air bolus or auscultation. It is worth mentioning that these verifications are performed only after the tube is already in position.


Today, there are innovative systems that assist clinicians in the placement of feeding tubes. They use sophisticated navigation techniques, including sensors as well as body mapping, to ensure the safety and speed of tube placement. These devices are particularly useful for medical professionals.

Lung collapse feeding tube New Technology for NGT/NET Navigation ENvizion Medical
A promising NGT/NET placement device, ENvue(r), has been introduced to the market in recent years. It assists clinicians in placing a feeding tube securely into the small intestine.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator that emits EM waves that cover the thorax of a patient as well as their digestive tract. The EM field generator as well as a variety of EM sensors work together to produce the body map of the patient. They also provide precise images, even when the patient moves.

https://www.hngn.com/articles/246615/20230206/watch-bill-clinton-speak-about-the-risks-of-lung-collapse-feeding-tube-awareness-week-2023.htm The distal tip of a feeding tube has an embedded sensor that is activated when electromagnetic waves pass through it.


The ENvue tracking system tracks the tube sensor through your gastrointestinal tract and displays the position of the tip relative to the path of placement during the process of placement.


ENvue records show that each procedure starts with the anatomical landmarks' registration. This aligns the patient to the navigation systems and guarantees precise navigation.

The user-friendly screen of Envue can provide multiple views at once (Frontal and Axial), The screen displays a patient's body contour, as well as the direction and direction of the tube sensor, in real-time and without lagging. Moreover the ENvue system alerts users whenever the tube's feed is not directed correctly into the airways. This can prompt them to withdraw and then reinstall the tube.

ENvue is a revolutionary method to precisely assess the NGT/NET position. There are numerous applications available. It combines innovative technology with precise body maps sensors and continuous guidance. These functions have been able to transform the way we work.


Here's my website: https://www.fda.gov/medical-devices/medical-device-recalls/avanos-medical-recalls-cortrak2-enteral-access-system-risk-misplaced-enteral-tubes-could-cause